{"id":"https://openalex.org/W4206334331","doi":"https://doi.org/10.29024/jsim.122","title":"Management of Acute Bronchiolitis, Guidelines Vs Practice; An Inner-City Community Hospital Experience","display_name":"Management of Acute Bronchiolitis, Guidelines Vs Practice; An Inner-City Community Hospital Experience","publication_year":2021,"publication_date":"2021-01-01","ids":{"openalex":"https://openalex.org/W4206334331","doi":"https://doi.org/10.29024/jsim.122"},"language":"en","primary_location":{"id":"doi:10.29024/jsim.122","doi":"https://doi.org/10.29024/jsim.122","is_oa":true,"landing_page_url":"https://doi.org/10.29024/jsim.122","pdf_url":null,"source":{"id":"https://openalex.org/S4210219765","display_name":"Journal of Scientific Innovation in Medicine","issn_l":"2579-0153","issn":["2579-0153"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Scientific Innovation in Medicine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.29024/jsim.122","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5011476349","display_name":"Chinonso Onwudiwe","orcid":"https://orcid.org/0000-0002-4635-5013","observed_orcids":["https://orcid.org/0000-0002-4635-5013"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"C. Onwudiwe","raw_affiliation_strings":["Department of Pediatrics, BronxCare Health System"],"raw_orcid":"https://orcid.org/0000-0002-4635-5013","affiliations":[{"raw_affiliation_string":"Department of Pediatrics, BronxCare Health System","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020949163","display_name":"R. Fawole","orcid":"https://orcid.org/0000-0001-8331-7342","observed_orcids":["https://orcid.org/0000-0001-8331-7342"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"R. Fawole","raw_affiliation_strings":["Department of Pediatrics, BronxCare Health System"],"raw_orcid":"https://orcid.org/0000-0001-8331-7342","affiliations":[{"raw_affiliation_string":"Department of Pediatrics, BronxCare Health System","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061853507","display_name":"Angela Milad","orcid":"https://orcid.org/0000-0002-2747-3700","observed_orcids":["https://orcid.org/0000-0002-2747-3700"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A. Milad","raw_affiliation_strings":["Department of Pediatrics, BronxCare Health System"],"raw_orcid":"https://orcid.org/0000-0002-2747-3700","affiliations":[{"raw_affiliation_string":"Department of Pediatrics, BronxCare Health System","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062605253","display_name":"Aravinth Prasanth Jawahar","orcid":"https://orcid.org/0000-0002-8782-2861","observed_orcids":["https://orcid.org/0000-0002-8782-2861"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A. Jawahar","raw_affiliation_strings":["Department of Pediatrics, BronxCare Health System"],"raw_orcid":"https://orcid.org/0000-0002-8782-2861","affiliations":[{"raw_affiliation_string":"Department of Pediatrics, BronxCare Health System","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013674204","display_name":"R. Akiyode","orcid":"https://orcid.org/0000-0002-5852-4590","observed_orcids":["https://orcid.org/0000-0002-5852-4590"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"R. Akiyode","raw_affiliation_strings":["Department of Pediatrics, BronxCare Health System"],"raw_orcid":"https://orcid.org/0000-0002-5852-4590","affiliations":[{"raw_affiliation_string":"Department of Pediatrics, BronxCare Health System","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060458976","display_name":"Savita Manwani","orcid":"https://orcid.org/0000-0003-3863-4167","observed_orcids":["https://orcid.org/0000-0003-3863-4167"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S. Manwani","raw_affiliation_strings":["Department of Pediatrics, BronxCare Health System"],"raw_orcid":"https://orcid.org/0000-0003-3863-4167","affiliations":[{"raw_affiliation_string":"Department of Pediatrics, BronxCare Health System","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5073945909","display_name":"Lin Kin","orcid":"https://orcid.org/0000-0002-0805-0091","observed_orcids":["https://orcid.org/0000-0002-0805-0091"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L. Kin","raw_affiliation_strings":["Department of Pediatrics, BronxCare Health System"],"raw_orcid":"https://orcid.org/0000-0002-0805-0091","affiliations":[{"raw_affiliation_string":"Department of Pediatrics, BronxCare Health System","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5011476349"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.2632878,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"4","issue":"2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11243","display_name":"Respiratory viral infections research","score":0.9702000021934509,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11243","display_name":"Respiratory viral infections research","score":0.9702000021934509,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.014700000174343586,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.006599999964237213,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-bronchiolitis","display_name":"acute bronchiolitis","score":0.9860000014305115},{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.7559999823570251},{"id":"https://openalex.org/keywords/blood-culture","display_name":"blood culture","score":0.7889999747276306},{"id":"https://openalex.org/keywords/antibiotic-use","display_name":"antibiotic use","score":0.8349999785423279},{"id":"https://openalex.org/keywords/respiratory-syncytial-virus","display_name":"respiratory syncytial virus","score":0.8190000057220459},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.7429999709129333},{"id":"https://openalex.org/keywords/respiratory-viral-infections","display_name":"respiratory viral infections","score":0.421999990940094},{"id":"https://openalex.org/keywords/unnecessary-testing","display_name":"unnecessary testing","score":0.6029999852180481},{"id":"https://openalex.org/keywords/american-academy-of-pediatrics-guidelines","display_name":"American Academy of Pediatrics guidelines","score":0.7720000147819519},{"id":"https://openalex.org/keywords/infants","display_name":"infants","score":0.4580000042915344},{"id":"https://openalex.org/keywords/hospitalization-costs","display_name":"hospital costs","score":0.38999998569488525},{"id":"https://openalex.org/keywords/intensive-care-unit-admission","display_name":"intensive care unit admission","score":0.41499999165534973},{"id":"https://openalex.org/keywords/oxygen-saturation","display_name":"oxygen saturation","score":0.6959999799728394},{"id":"https://openalex.org/keywords/oxygen-therapy","display_name":"oxygen therapy","score":0.3610000014305115},{"id":"https://openalex.org/keywords/community-acquired-pneumonia","display_name":"community-acquired pneumonia","score":0.33899998664855957}],"concepts":[{"id":"https://openalex.org/C2778821649","wikidata":"https://www.wikidata.org/wiki/Q424227","display_name":"Bronchiolitis","level":3,"score":0.9054926037788391},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8790292143821716},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.6513134837150574},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5747397541999817},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5524255633354187},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5150944590568542},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.45133689045906067},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.29781007766723633},{"id":"https://openalex.org/C534529494","wikidata":"https://www.wikidata.org/wiki/Q7891","display_name":"Respiratory system","level":2,"score":0.23696255683898926},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.29024/jsim.122","doi":"https://doi.org/10.29024/jsim.122","is_oa":true,"landing_page_url":"https://doi.org/10.29024/jsim.122","pdf_url":null,"source":{"id":"https://openalex.org/S4210219765","display_name":"Journal of Scientific Innovation in Medicine","issn_l":"2579-0153","issn":["2579-0153"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Scientific Innovation in Medicine","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:c79216077d4c41acb9c5e58d3da5398c","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/c79216077d4c41acb9c5e58d3da5398c","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Scientific Innovation in Medicine, Vol 4, Iss 2 (2021)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.29024/jsim.122","doi":"https://doi.org/10.29024/jsim.122","is_oa":true,"landing_page_url":"https://doi.org/10.29024/jsim.122","pdf_url":null,"source":{"id":"https://openalex.org/S4210219765","display_name":"Journal of Scientific Innovation in Medicine","issn_l":"2579-0153","issn":["2579-0153"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Scientific Innovation in Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","score":0.6600000262260437,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4284708099","https://openalex.org/W2077162593","https://openalex.org/W2946811165","https://openalex.org/W3096648867","https://openalex.org/W2410909087","https://openalex.org/W2077290707","https://openalex.org/W2985038284","https://openalex.org/W2076741179","https://openalex.org/W3029526842","https://openalex.org/W1912962064"],"abstract_inverted_index":{"Background:":[0],"Bronchiolitis":[1],"is":[2],"the":[3,19,45,92,104,114,143,185,199,304,361,372,381],"most":[4],"common":[5,355],"cause":[6],"of":[7,22,28,60,62,66,72,86,94,106,116,150,177,187,207,247,283,306,331,350,374,383],"hospitalization":[8,248,325,344],"among":[9,15,368],"infants,":[10],"and":[11,35,91,110,169,264,269,290,316,380],"inpatient":[12],"management":[13],"varies":[14],"pediatricians.":[16],"In":[17,256],"2014,":[18],"American":[20],"Academy":[21],"Pediatrics":[23],"advised":[24],"against":[25],"routine":[26],"use":[27,93,112,320],"chest":[29],"X-rays":[30],"(CXR),":[31],"blood":[32],"cultures":[33],"(BC),":[34],"antibiotics":[36,159,271,384],"in":[37,50,240],"bronchiolitis":[38,73,353],"management.":[39,241],"Our":[40,363],"objective":[41],"was":[42,74,100,128,249,321],"to":[43,83,102,237,253,309,360,387],"assess":[44,103],"compliance":[46],"with":[47,68,132,218,274,278,323,352],"these":[48,375],"recommendations":[49],"an":[51,369],"inner-city":[52],"community":[53],"hospital.":[54],"Methods:":[55],"A":[56,96],"retrospective":[57],"chart":[58],"review":[59],"visits":[61],"children":[63],"2\u201324":[64],"months":[65,131],"age":[67,125,127,263],"a":[69,178,219,388],"discharge":[70],"diagnosis":[71],"performed.":[75],"Multivariable":[76],"adjusted":[77,260],"logistic":[78],"regression":[79,98,258],"models":[80,259],"were":[81,121,157,160,204,209,216,272],"used":[82,101],"determine":[84],"predictors":[85],"performing":[87,107,266],"CXR":[88,337],"and/or":[89],"BC":[90,189,201,332],"antibiotics.":[95],"linear":[97,257],"model":[99],"effect":[105],"BC,":[108,154,267],"CXR,":[109,155,191,213,228,268],"antibiotic":[111,319],"on":[113],"length":[115],"hospitalization.":[117],"Results:":[118],"201":[119],"charts":[120],"analyzed.":[122],"The":[123,148,175,226,242,329],"mean":[124,243],"(SD)":[126],"11":[129],"(6)":[130],"66%":[133],"(n":[134,162,166,171],"=":[135,163,167,172,193],"132)":[136],"being":[137],"males.":[138],"15%":[139],"tested":[140],"positive":[141,205],"for":[142,261,299],"respiratory":[144],"syncytial":[145],"virus":[146],"(RSV).":[147],"proportion":[149],"patients":[151,351],"who":[152],"had":[153],"or":[156,190,336],"administered":[158],"55%":[161],"111),":[164],"89%":[165],"178),":[168],"46%":[170],"92)":[173],"respectively.":[174,294],"identification":[176],"viral":[179,220],"causative":[180],"agent":[181],"did":[182,234,341],"not":[183,230,235,342],"reduce":[184],"odds":[186],"having":[188],"OR":[192],"1.52":[194],"(95%":[195,280],"CI:":[196],"0.33\u20137.00).":[197],"Of":[198,211],"107":[200],"performed,":[202],"4":[203],"(3":[206],"which":[208],"contaminants).":[210],"178":[212],"160":[214],"(90%)":[215],"normal/consistent":[217],"airway":[221],"disease":[222,307],"process":[223],"Figure":[224],"1.":[225,346],"remaining":[227],"though":[229],"reported":[231],"as":[232],"normal,":[233],"lead":[236,386],"any":[238],"change":[239],"(SD,":[244],"range)":[245],"duration":[246],"3":[250],"(2,":[251],"1":[252],"13)":[254],"days.":[255],"patients\u2019":[262],"gender,":[265],"receiving":[270],"associated":[273,322],"longer":[275,324],"hospital":[276,390],"stays":[277],"\u03b2":[279],"confidence":[281],"intervals)":[282],"1.13":[284],"(0.67,":[285],"1.60),":[286],"0.81":[287],"(0.06,":[288],"1.57),":[289],"1.36":[291],"(0.91,":[292],"1.81)":[293],"However,":[295],"after":[296],"additionally":[297],"adjusting":[298],"factors":[300],"that":[301,366],"may":[302,385],"suggest":[303],"severity":[305],"(admission":[308],"ICU,":[310],"RSV":[311],"status,":[312],"oxygen":[313],"saturation,":[314],"T-max,":[315],"WBC),":[317],"only":[318],"[1.08":[326],"(0.56,":[327],"1.61)].":[328],"performance":[330],"[0.11":[333],"(\u20130.52,":[334],"0.75)]":[335],"[0.03":[338],"(\u20130.64,":[339],"0.71)]":[340],"prolong":[343],"Table":[345],"Conclusion:":[347],"Extensive":[348],"investigation":[349],"remains":[354,377],"despite":[356],"published":[357],"evidence-based":[358],"guidelines":[359],"contrary.":[362],"findings":[364],"show":[365],"even":[367],"underserved":[370],"population,":[371],"yield":[373],"investigations":[376],"very":[378],"low,":[379],"administration":[382],"prolonged":[389],"stay.":[391]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2025-10-10T00:00:00"}
